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3590 Wescott Woodlands - Septic Compliance Inspection FROM FAX NO. 6514550483 May. 06 2013 02:26PM P1 VIR FAX TRANSW 38100 10: J°`1~ Sc_L~oe~~ref FR: Frank Bakke Wndoh Environmental iLO 25 Colshire Lane Mendola Heights, MN 55118 Phone: 612414.6611 Far; 651.455.4483 DATE: NUMBER OF PAGES SENT: NOTES: FROM FAX NO. 6514550483 May. 06 2013 02:27PM P2 a urVIRONMENT4 Ret~~: MendataFavironai 25 O*rke Lane Mendota {hts, MN 55118 612414.6611 Attn: Frank Bakke INVOICE 3-5' TO LJcs cc~fi SS'(23 Pra'ect Job Number Invoice Dab Invoice Number Terms S/ G Za! _ - U ntt ~acdpt Date of Serft Des ' ' Unb Rate Amount -3 0 psc~~ invoice doge upon receilpt 't'hank you for your busineset CUENT COPY FROM FAX NO. : 6514550483 May. 06 2013 02:27PM P3 Minnesota Pollution Compliance Inspection Form Control Agency Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) 520 St. Paul, MN 55155-4194 Doc Type: Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency (MPCA) For local tracking purposes, requirements and attached forms - additional local requirements may also apply- Submit completed form to Local Unit of Government (LUG) and system owner within 15 days _.._.r.- System Status System status on date (mmiddlyyyy): 4/30/2013 Compliant- Certificate of Compliance ® Noncompliant- Notice of Noncompliance (Valid for 3 years horn report date, unless shorter time (See Upgrade Requirements on page 3.) frame outlined in Local Ordinance.) Reason(s) for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance Component 03) - Imminent threat to public health and safety ® Tank Integrity (Compliance Component #2) - Failing to protect groundwater ® Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater ❑ Soil Separation (Compliance Component #4) Failing to protect groundwater ❑ Operating permittmonitoring plan requirements (Compliance Component #5) Noncompliant i I Property Information Parcel ID# or Sec/7wp/Range: 10-83623-01-010 Property address: 3590 Wescott Woodlands Rd. Reason for inspection: prop ertytransfer Property owner: Frederick Wessel Owner's phone: 651-454-4042 or Owner's representative: Representative phone: Local regulatory authority: -City of Eagan Regulatory authority phone: 651-675-5676 Brief system description. Cesspool Comments or recommendations: Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage- inspector name: Frank Bakke _ Certification number C4209 Business name: Mendota E ironmental License number L1718 Inspector signature: Phone number. 612- 414-6611 Necessary or Locally Required Attachments ❑ Soil boring logs System/As-built drawing ❑ Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us - 651-296-6300 - 800.657-3864 TTY 651-282-5332 or 80o-65T-3864 • Available in alternative formats ,..,-rvwicrt4-3i 3/16112 Page r of3 FROM FAX NO. : 6514550483 May. 06 2013 02:28PM P4 Property address: 3590 Wescott Woodlands Rd._ Inspector initials/Date: FB 4~ /30/2013 - (mm/ddlyM) 1. Impact on Public Health Compliance Component #1 of 5 Compliance criteria: _ Verification method(s). System discharges sewage to the ❑ Yes ® No ® Searched for surface outlet ground surface. ® Searched for seeping in yard/backup in home System discharges sewage to drain ❑ Yes ® No ❑ Excessive ponding in soil system/D-boxes -tile or surface waters. ❑ Homeowner testimony (see CommentsiExplanetion) System causes sewage backup into ❑ Yes ® No ❑ "Black soil" above soil dispersal system dwelling or establishment. ❑ System requires "emergency" pumping Any "yes" answer above indicates the ❑ Performed dye test system is an imminent threat to public ❑ Unable to verify (See commentsepianation) health and safety. ._.w,. ❑ Other methods not listed (See CommentsT-vpianation) Comments/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Compliance Criteria: - Verification method(s): System consists of a seepage pit, ® Yes ❑ No R Probed tank(s) bottom cesspool, drywell, or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form (Attach) com giant if allowed in local ordinance. [j Sewage tank(s) leak below their ❑ Yes ❑ No Observed liquid level below operating depth designed operating depth. ❑ Examined empty (pumped) tanks(s) If yes, which sewage tank(s) leaks: El Probed outside tank(s) for "black soil" Any "yes" answer above indicates the ~J ❑ unable to verify (see comments/Explanation) system is failing to protect groundwater. ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: Probed tanks to 14 feet below ground surface, no bottom encountered- 3. Other Compliance Conditions- Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. p Yes' 0 No p Unknown b. Other issues (elechica/ hazards, etc.) to immediately and adversely impact public health or safety. El Yes` 0 No U Unknown *System is an imminent threat to public health and safety. Explain: C. System is non-protective of ground water for other conditions as determined by inspector. 0 yes- ❑ No *System is failing to protect groundwater, Explain: Cesspool FROM: FAX NO. : 6514550483 May. 06 2013 02:28PM P5 Property address; 3590 Wescott Woodlands Rd. _ Inspector initials/Date: FB_1 4/30/2013 (mmIftyyyy) 4. Soil Separation - Compliance component #4 of 5 Date of installation: 1/111970 _ ❑ Unknown Verification method(s): (mrrudd/yyyy) ShorelandNVellhead Protection/Food beverage Soil observation does not expire. Previous soil lodging? Yes ®No observations by two independent panties are sufficient unless site conditions have been altered or local compliance criteria: _ requirements differ. For systems built prior to April 1, 1996, and ❑ Yes ❑ No Q Conducted soil observation(s) (Attach boring logs) not ►ocated in Shore/and or wellhead Protection Area or not serving a food, ❑ Two previous verifications (Attach boring logs) beverage or lodging establishment.' ❑ Not applicable (Holding tank(s), no drainfleld) Drainfield has at least a two-foot vertical l~ Unable to verify (See Comments!Explanation) separation distance from periodically ❑ Other (See Comments/Explanation) saturated soil or bedrock. Non performance systems built April 1, ❑ Yes [:]No Comments/Explanation: 1996, or later or for nonperformance systems located in Shore►and or Wellhead Unable to locate drainfield. Protection Areas or serving a food, beverage, or lodging establishment Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock." Experimenter, 'Other, or Performance" ❑ Yes Q No Indicate depths or elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. A. Bottom of distribution media 2350 or 7080.2400 (Advanced Inspector ` License required) B. Periodigl~r saturated soiWedroce Drainfield meets the designed vertical System reparation - separation distance from periodically - saturated soil or bedrockD. Required compliance se aration* Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local failing to protect groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP* - Compliance component #5 of 5 ® Not applicable Is the system operated under an Operating Permit? Q Yes Q No If "yes". A below is required Is the system required to employ a Nitrogen BMP? Q Yes El No If "yes", B below is required BMP = Best Management Practice(s) specified in the system design N the answer to both questions is "no", this section does not need to be completed. Compliance criteria - a. Operating Permit number. Have the Operating Permit requirements been met? ❑ Yes Q No b. mis the required nitrogen BMP in place,andproperly functioning? ❑ Yes ❑ No Any "no" answer indicates Noncompliance. Upgrade Requirements (inn. Stat § 115.55) An imminent threat to public health and safety (17PHS) most be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. if the system is failing to protect ground water, the system must be upgraded, replaced, or ifs use discontinued within the time required by local ordinance. !fan existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. www.pca.state.mn.us • 651.296.6300 • 800.657-3864 YTY 651-282-5332 or 800-657-3864 • Available in altemative formats wq•wwists4-31 • 3116112 AaSe 3 of 3 FROM FAX NO. 6514550483 May. 06 2013 02:28PM P6 SLR 1 V C. CfeK I G s 3 Ic b 1 6 ~ b s Dko C4 lo VINGE i i J. CH ST.) (VACATED) o SW COR LOT 3 .0 WESSEL o w #3590 i 3 ~ Pddit~o / _ and n s W es5e1 L STONEHAVEN 1st Add u o ! ~